Jessica Larraona Bernardes, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.027155 Issued in OH

Practice address

880 Eastgate North Dr Ste 101
Cincinnati, OH 45245-2051

Phone

(513) 978-5859

NPI assigned

Jun 12, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nguyen Dentists of Eastgate, PC, Inc

  • Dentist
  • Cincinnati, OH
  • NPI 1437797792
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1639853575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 BANNING RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452395210",
            "telephone_number": "202-374-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 EASTGATE NORTH DR STE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452051",
            "telephone_number": "513-978-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDES",
        "first_name": "JESSICA",
        "middle_name": "LARRAONA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard Logistics
• Andie Bernard
• Bonnie J. Bernard, M.S., P.C., N.C.C.
• Kiara Samia Bernard, QMHS
• Lori Bernard, OTR/L
• Katherine Rose Bernardo, MD
• Sabrina Ann Bernardo
• Lisa M. Bernath, M.ED., LPCC-S
• Meghan F Berndsen, BA
• Nicole Berndsen, CNP

• Dentist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.